Medi-Cal Informing Materials
             
        

These documents are given to clients receiving specialty mental health services that are covered by Medi-Cal.
|  | Behavioral Health Member Handbook Specialty Mental Health Services and Drug Medi-Cal Organized Delivery System Effective Date: December 1, 2024 | 
|  | Member Rights Poster | 
|  | SUD Member Rights Poster  | 
|  | Member Rights & Grievance/Appeal Process and Form  | 
|  | |
|  | Consumer Notification of Licensing Boards  | 
|  | Early & Periodic Screening & Diagnosis Including Therapeutic Behavioral Services  | 
|  | Family Feedback Flyer  | 
|  | Family Feedback Form - Adult Services | 
|  | Family Feedback Form- Children's Services  | 
|  | |
|  | Point to Your Language Poster  | 
|  | Provider Directory for Specialty Mental Health Services (Updated Monthly) | 
|  | Provider Directory for Substance Use Treatment Services (Updated Monthly) | 
|  | Your Right to Make Decisions About Medical and Mental Health Treatment | 
|  | Member Non-Discrimination Notice | 
|  | Notice of Availability | 
|  | Mental Health Patient's Rights CSU Poster | 
|  | Interoperability and Health Information Exchange Frequently Asked Questions and Opt Out Information English (PDF: 125 KB) | 
Privacy Practices
Attention contractors: You are required by law to provide members with your own HIPAA Notice of Privacy Practices statement.
Attention members: these are the County Mental Health Services Notice of Privacy Practices statements.
Notice of Privacy Practices for Health Care Members
Print version: English | Spanish (PDF: 207 & 232 kB) 
Form: Acknowledgement of Receipt of Notice of Privacy Practices 
English | Spanish (PDF: 34.8 kB)
Attention members: For more information about opting out of data sharing, please click here.
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